Behavioral Health Case Study on Maximizing Collections

This case study details the post-payment recovery services provided by Collect Rx to a mid-sized Behavioral Health Group. The document outlines the process of gaining payor portal access for major insurance providers including UHC, Cigna, and Aetna. It describes how Collect Rx utilized its CRXISelect tool to analyze processed claims over the past 12 months, identifying cases suitable for appeal. The service includes a comprehensive review of out-of-network claims, processing identified claims for recovery, and maximizing recovery through various strategies such as negotiations and appeals. The case study highlights the collaboration between Collect Rx and the billing company of the Behavioral Health Group, which led to the recovery of over $1 million. Additionally, it presents the financial outcomes, showing total charges, initial offers, and final payments, illustrating the effectiveness of the recovery strategies employed.